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1538672399
ANTONIO DEMARCUS BROADWAY
BATON ROUGE, LA
NPI
1538672399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2017-11-14
Last Update Date
2018-06-16
Business Address
ANTONIO DEMARCUS BROADWAY
5810 MCCANN DR
BATON ROUGE, LA 70809-4149
Phone number: 225-221-7831
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Mailing Address
ANTONIO DEMARCUS BROADWAY
5810 MCCANN DR
BATON ROUGE, LA 70809-4149
Phone number: 225-221-7831
Copy
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